| NPI | 1942326590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA08500800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.25419) |
| 207Q00000X Family Medicine (Licence: AL 25419) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2024-07-22 |